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48. SPORTS MEDICINE MARCH 2014 ide 1 Sgpcenite ‘Student Name: Evaluator’s Name: _ | you would ask in each part of the History section Oral Examination 27S, = semen! 7: 34 AS 198 Previous injury Part I: 4-8 questions Mechanism of ‘Mechanism of injury: Chronic ‘Symptoms Appropriate | injury: Acute ‘Appropriate Appropriate questions. 2 | questions_Q-_/2 ‘Appropriate questions_ 272 questions_ 2 Part II: Explain the following conditions you might observe 1. Genu recurvatum Correctly identified condition: eis Notes: 2. squinting patella |Sae identified condition: 15 | Notes: 3. coun SET el 15 Notes: 4. Observation from Scenario ee identified any abnormalities: 15 Observed bilaterally aay) Notes: Oral Examination MARCH 2014 ADY. SPORTS MEDICINE Part III. Palpate the following bony str that bony structure as a landmark: 1. Fibular head [ Coy palpated identified structure: ctures and 1 soft tissue structure for which Correctly palpated one of the following structures (please circle the fe the 15 Notes: 2. Tibial plateau Correctly palpated identified structure: een 5) student identified): Bicep? Gene? Correctly palpated one of the following | structures (please circle the structure the student identified) eames | My menrd Go 3 Notes: 3. Lateral femoral epicondyle or condyle Correctly palpated identified stuctare: Correctly palpated one of the following 15 structures (please circle the strycture the student identified): ae 3 IS Notes: 4, posterior tibia Correctly palpated identified structure: ois Correctly palpated one of the following structures (please circle the structure the student identified): 5 ADV. SPORTS MEDICINE | b 5. patella | Correctly palpated identified structure: ois | L MARCH 2014 Oral Examination Correctly palpated one of the following structures (please circle the structure the student identified) eam fs, Notes: Part IV. State the purpose (positive findings) for the following special tests, and then perform each test for the examiner. 1,_Varus Stress test Purpose of test: | Correct position of _] Correct position of _] Correct application examiner: patient: of force: Ap faint a 12 mn Note: 2. Clarke's sign Purpose of test: Correct position of | Correct position of | Correct application examiner: patient: of force: hed he Qe Sera af, Sa Note: Oral Examination 4 ADV.SPORTS MEDICINE MARCH 201 3._Anterior Drawer Correct application Tapas GE teats a | Gonreck position Olney | (apetect posit OCLC [pears examin patient: a 12 Be eee p12 12 Ate ——— eee Note: 4. Lachman’s (reg. , modified, or reverse) a Purpose of test: | Correct position of | Correct position of | Correct application examiner: patient: of force: ap eae ave) ie | Note: 5._Apley’s Compression Purpose of test: Correct position of | Correct position of _ | Correct application examiner: patient: of force: te oa Fn Lp Note: Proper position of Correct application | Correct length of examiner of force time /2 12 es 2 Note: Oral Examination ADV. SPORTS MEDICINE MARCH 2014 7. Dermatome S1 { Purpose of test: Proper position of | Correct application | Correct lengttrof examiner of force time 12 Orn Pena tp Note: 8. Dorsalis pedis pulse Purpose of test: | Proper position of _ | Correct application | Correct length of examiner of force time Oa /2 iL pany ap Note:

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